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Basic Work-up for Infertility Detailed history and physical examination. Semen analysis. Evidence of ovulation. (Day 2-3 gonadotrophins, Day 21 progesterone) Susceptibility to rubella Cervical smear screening Screening for Chlamydia trachomatis Serum prolactin Thyroid function tests 12. Semen analysis: - semen volume: 1. For unknown reasons, as women age, egg numbers decrease at a rapid rate. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries.

A typical disease is polycystic ovarian syndrome. Maternal age Infertility due to age is one of the most common causes of female infertility. Some people find that joining a support group helps, as it offers the chance to talk to others in a similar situation. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH.

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Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). Chemotherapy: Some chemotherapy drugs can result in ovarian failure. Fimbrioplasty for fimbria agglutination or phimosis without destruction of the cilial epithelium is equally successful. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Congenital Adrenal Hyperplasia: Occurs when the pituitary is suppressed by increased levels of adrenal androgens.  Symptoms include low sperm count, an increased number of immature sperm cells, and low sperm cell motility.  Is treated with cortisone replacement therapy.  This condition is found in only 1 percent of infertile men. Each day of abstinence is typically associated with an increase in semen volume of 0.

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Gonadotropins are available in the form of human menopausal gonadotropin (HMG) derived from the urine of postmenopausal women. A systematic review of tests predicting ovarian reserve and IVF outcome. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes.

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Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Abnormalities of the uterus like the uterus bicornis, uterus septa or hypoplasia of the uterus less frequently result in contraceptional barriers but can cause miscarriages. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. Some methods may be used in concert with other methods. Afterward, laparoscopy gained rapidly acceptance for non-gynecologic applications. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. In humans, infertility is the inability to become pregnant after one year of intercourse without contraception involving a male and female partner.[2] There are many causes of infertility, including some that medical intervention can treat.[3] Estimates from 1997 suggest that worldwide about five percent of all heterosexual couples have an unresolved problem with infertility. Afterward, the mucus specimen is phase-microscopically examined.